Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $46.77 / $109.65	Facility		$38.02	$46.77	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $67.61	Professional		$21.88	$33.88	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $151.36	Professional		$89.13	$109.65	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $77.62	Facility		$34.67	$45.71	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $45.71	Professional		$22.91	$38.02	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $102.33	Facility		$47.86	$85.11	$102.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $57.54 / $100.00	Facility		$33.11	$57.54	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $79.43	Professional		$30.90	$57.54	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $67.61	Professional		$64.57	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $39.81	Professional		$16.98	$25.70	$39.81